On the origin and progress of renal surgery : with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria being the Hunterian lectures for 1898 together with a critical examination of subparietal injuries of the ureter / by Henry Morris.

Date:: 1898

Credit: On the origin and progress of renal surgery : with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria being the Hunterian lectures for 1898 together with a critical examination of subparietal injuries of the ureter / by Henry Morris. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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$C. {continued) 1 { I ) ) Date of Operation. Eesult. Eemaeks. Ne]ibrectomy. March 18th, 1888 R. Kidney. Recovered. The right kidney was infiltrated with cancerous growth, it was removed together with the adjacent masses of cancer. New growth could be felt spreading across the sjnne, upwards behind the liver, and doAvn into pelvis. Re- covered from operation, but died in following June. (F. Brit. Med. Journ.y vol. i., 1893, p. 2, for illustration of tumour and report of case.) Nephrectomy. Oct. 15th, 1889. R. Kidney. Nephrectomy. May 31st, 1892. R. Kidney. March 28th, 1894. ' L. Kidney. Recovered. The kidney was removed by lumbar and lateral abdominal incisions. The tumour proved to be a sarcoma of the kidney. The patient subsequently died from malignant disease of the ovary and liver in summer of 1892. (F. Brit. Med. Journ.., vol. i., 1893, p. 2, for illustration of tumour and report of case.) Recovered. Langenbuch’s incision. The liver was found studded with white nodules of new growth resembling cancer. The renal tumour, however, was freely movable and easily shelled out, so it M^as removed. He recovered rapidly, was re- lieved of his pain, and was living 8 months after. The tumour proved to be one of the supra - renal capsule, which had encroached upon and absorbed the upper part of the right kidney. Its structure resembled the medullary part of the supra-renal capsule. (F. Brit. Med. Journ.., vol. i., 1893, p. 2, for illustration of tumour and report of case.) Recovered. Died since of recurrence. A large cyst projected from upper end of kidney, and was with difficulty peeled away. The kidney was full of small cysts containing gelatinous material, and was found on microscopical ex- amination to be sarcomatous.$